A Claims Adjuster or Specialist investigates and evaluates insurance claims. Specializes in a particular type of insurance. Inspects property damage, including damage to homes, buildings and cars; reviews claims after they are submitted; may authorize or deny payment for claims. May work directly for insurers or on behalf of claimants.
Do you have experience managing insurance claims? Are you strategic and meticulous? Are you skilled at reviewing and interpreting complex claims and documents? If so, then we'd like you to join our dedicated team as Senior Claims Specialist . About the
Role:
You will: Assist with all aspects of Hajoca's property and casualty insurance program. Oversee and manage property and casualty insurance claims, with a strong emphasis on managing worker's compensation claims, to mitigate financial impact and to ensure optimal outcomes for the Company. Provide comprehensive quarterly reports on claims activity across all insurance lines, highlighting key trends, risks, and financial impacts. Lead and support loss control initiatives , including Driver's Alert, Dash Cams, Return-to-Work Programs, and Learning Management Systems, to enhance safety and reduce risk exposure. Manage insurance-related invoicing , including premiums, deductible billings, and other related transactions, ensuring accuracy and timely processing. Handle Certificate of Insurance (COI) requests from customers and landlords, and track COIs from vendors to ensure compliance with contractual obligations. Prepare and file annual OSHA recordkeeping reports , ensuring accurate documentation and adherence to regulatory requirements. Collaborate in the development and refinement of company policies that align with corporate objectives, industry standards, and risk management best practices. Participate in strategic claim review meetings with insurance brokers and carriers to assess claim trends and influence future policy decisions. Gather critical exposure data to support accurate and timely insurance policy renewals and adjustments. Assist in the execution of annual insurance premium audits , ensuring data accuracy and compliance with underwriting guidelines. Stay informed on evolving regulatory compliance matters , including DOT, OSHA, and other industry-specific regulations, to ensure the Company maintains full compliance. Contribute to high-priority risk management projects , providing leadership and expertise as needed to address emerging risks and opportunities. Analyze driver data to identify high-risk drivers, so that additional, targeted driver training may be assigned. Successfully complete required safety and compliance training programs as assigned. Perform other reasonably related duties as assigned by immediate supervisor and other management as required.
About You:
Bachelor's degree in Risk Management, Finance, Business Administrations or related field or equivalent experience. 5 or more years of experience managing worker's compensation claims.
Our ideal candidate will also:
Have advanced knowledge of insurance, loss control, and claims practices. Be able to understand business contracts and to interpret complex legal language. Be able to negotiate effectively. Have a proven track record identifying, analyzing, and mitigating risks within a complex organizational structure. Possess strong analytical and problem-solving skills, with the ability to assess and mitigate risks effectively. Have experience using Microsoft Office to email and review/create reports. Demonstrate excellent communication and interpersonal skills, with the ability to effectively interact with co-workers, vendors and management. Be able to exercise sound judgement and take initiative in resolving problems and making recommendations. Be self-motivated and fast learner. Possess strong organizational skills. Be able to organize complex projects, manage multiple tasks and meet established deadlines.
